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Interact Cardiovasc Thorac Surg · Jan 2010
Case ReportsWarm, beating heart aortic valve replacement in a sickle cell patient.
- Saif Usman, Faisal B Saiful, Joseph DiNatale, and Joseph T McGinn.
- Department of Cardiothoracic Surgery, Staten Island University Hospital, 475 Seaview Avenue, Staten Island, NY 10305, USA. saif.usman@gmail.com
- Interact Cardiovasc Thorac Surg. 2010 Jan 1; 10 (1): 67-8.
AbstractPatients with sickle cell abnormalities undergoing surgery are generally considered to be at greater risk for perioperative complications. We present a 25-year-old woman with sickle cell disease (SCD) and severe aortic insufficiency. A minimally invasive, warm, beating heart approach was adopted to try and minimize the risk of sickling due to cardiopulmonary bypass (CPB), low-flow states, cold cardioplegia and aortic cross-clamping. Compared to classical methods, we believe our technique further reduces the risk of systemic and organ hypothermia and thus, sickling.
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